ALI HMIDI MD
NPI 1619960630
Internal Medicine - Pulmonary Disease in Middletown, NY

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ali Hmidi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI HMIDI MD (NPI 1619960630) is an individual pulmonary disease provider in Middletown, New York, licensed in New York (225594) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1619960630
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameALI HMIDICredential: MD
Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Fax(845) 703-6297
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 24, 2005
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1619960630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 225594
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 225594 (NY)
155 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 1

Medicaid02648075NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ali Hmidi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658316864
PECOS Enrollment IDI20050628000059
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
752 services401 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
457 services171 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
212 services187 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
208 services173 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services106 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
99 services62 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.71
Promoting Interoperability100
Improvement Activities40
Cost98.42

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers47 claims47 services$35.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers120 claims120 services$78.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers102 claims254 services$28.07 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers37 claims191 services$17.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers20 claims106 services$14.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers82 claims82 services$50.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Nephrology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Physician Assistant
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Obstetrics & Gynecology
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Pediatrics
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Pulmonary Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Hematology & Oncology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Hmidi's NPI number?

The NPI number for Ali Hmidi is 1619960630. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Ali Hmidi located?

Ali Hmidi practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Ali Hmidi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ali Hmidi enrolled in Medicare?

Yes. Ali Hmidi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ali Hmidi affiliated with any hospitals?

According to CMS data, Ali Hmidi is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Ali Hmidi was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.